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| 1. |  Commentary: A piece of my mind. Copy-and-paste. |
| | Hirschtick RE. JAMA. 2006;295:2335-2336. |
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| 2. | Commentary: Computerization can create safety hazards: a bar-coding near miss. |
| | McDonald CJ. Ann Intern Med. 2006;144:510-516. |
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| 3. | Study: Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. |
| | Kachalia A, Gandhi TK, Puopolo AL, et al. Ann Emerg Med. Ann Emerg Med. 2007;49:196-205. |
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| 4. | Study: Confidential clinician-reported surveillance of adverse events among medical inpatients. |
| | Weingart SN, Ship AN, Aronson MD. J Gen Intern Med. 2000;15:470-477. |
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| 5. | Commentary: Error in medicine. |
| | Leape LL. JAMA. 1994;272:1851-1857. |
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| 6. | Study: Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover. |
| | Pickering BW, Hurley K, Marsh B. Crit Care Med. 2009;37:2905-2912. |
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| 7. | Study: Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk. |
| | Berkenstadt H, Haviv Y, Tuval A, et al. Chest. 2008;134:158-162. |
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| 8. | Newspaper/Magazine Article: RHIOs aim to transform quality of care and patient safety. |
| | van der Grinten P. Patient Safety & Quality Healthcare. May/June 2006;3:46-48. |
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| 9. | Study: Medication prescribing errors involving the route of administration. |
| | Lesar TS. Hosp Pharm. 2006;41:1053-1066. |
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| 10. | Commentary: Poor Prognosis. |
| | Lamont EB. AHRQ WebM&M [serial online]. September 2004. |
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| 11. | Study: Sins of omission. Getting too little medical care may be the greatest threat to patient safety. |
| | Hayward RA, Asch SM, Hogan MM, Hofer TP, Kerr EA. J Gen Intern Med. 2005;20:686-691. |
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| 12. | Commentary: Not a Miscarriage. |
| | Learman LA. AHRQ WebM&M [serial online]. June 2003. |
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| 13. | Commentary: Ectopic or Not? |
| | Givens VM, Lipscomb GH. AHRQ WebM&M [serial online]. May 2003. |
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| 14. | Commentary: Premature or Overdue? |
| | Thomas J, Hannah M. AHRQ WebM&M [serial online]. April 2003. |
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| 15. | Study: Development and psychometric testing of a tool to measure missed nursing care. |
| | Kalisch BJ, Williams RA. J Nurs Adm. 2009;39:211-219. |
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| 16. | Commentary: Missed nursing care: a concept analysis. |
| | Kalisch BJ, Landstrom GL, Hinshaw AS. J Adv Nurs. 2009;65:1509-1517. |
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| 17. | Commentary: Missing Trauma. |
| | Jurkovich GJ. AHRQ WebM&M [serial online]. May 2009. |
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| 18. | Study: Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. |
| | Okon TR, Lutz PS, Liang H. J Pain Symptom Manage. 2009;37:1039-1049. |
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| 19. | Newspaper/Magazine Article: Inattentional blindness: what captures your attention? |
| | ISMP Medication Safety Alert! Acute Care Edition. February 26, 2009;14:1-3. |
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| 20. | Study: The use of pharmaceuticals for dialysis patients. How well do we know our patients' allergies?
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| | Bhandari S, Armitage J, Chintu M, Chinnappa S, Kendrew P. J Ren Care. 2008;34:213-217.
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